CPT® Code 49014

The procedure described by CPT® Code 49014 involves the re-exploration of a pelvic wound, specifically focusing on the removal of preperitoneal pelvic packing (PPP). This procedure is typically conducted within 24 to 48 hours following the initial placement of the packing, which is a common practice when the patient has achieved hemodynamic stability. The re-exploration is crucial for assessing the pelvic area for any potential injuries or ongoing bleeding that may have occurred since the initial surgery. The process begins with the careful removal of skin staples to access the pelvic incision, followed by an incision through the fascia to explore the pelvic cavity. During this exploration, previously placed laparotomy sponges are meticulously extracted from the pelvic space, allowing for a thorough examination of the area. If any signs of recurrent bleeding are identified, the procedure may necessitate the reinsertion of laparotomy sponges, as outlined in CPT® Code 49013. Finally, the fascia is sutured closed, and the skin is secured with staples, completing the procedure.